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In the left upper chest is a biventricular ICD. I'm not sure what model, but it's probably a Boston Scientific Cognis. It's attached to a Medtronic 6947 RV ICD lead, 4194 LV lead and (probably) a 5076 atrial lead. (Very nice LV lead position, by the way.)

In the right upper chest is a Medtronic Soletra deep brain stimulator attached to a DBS lead.

I'm not sure what that is in the left lower chest but given the trajectory of the lead, I'll have to guess its another Medtronic Soletra and DBS lead heading to the other side of the brain. Without a lateral film, I can't be sure, but the lead sure looks the same as what's on the right. I don't know much about DBS, but I suppose if your REALLY jumpy, they'll put leads on both sides of the brain.

This patient is getting state of the art therapy for both systolic congestive heart failure and a movement disorder (probably Parkinson's). He/she also probably belongs on the Medtronic calendar.

It'll be interesting 10,000 years from now when anthropologists unearth our bodies and find artificial hips, dental implants, silicone boobs and whatever else. They may conclude that some of these people must have been really *bad* to deserve such mutilation as punishment !

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About Me

Westby G. Fisher, MD, FACC is a board certified internist, cardiologist, and cardiac electrophysiologist (doctor specializing in heart rhythm disorders) practicing at NorthShore University HealthSystem in Evanston, IL, USA and is a Clinical Associate Professor of Medicine at University of Chicago's Pritzker School of Medicine. He entered the blog-o-sphere in November, 2005.
DISCLAIMER: The opinions expressed in this blog are strictly the those of the author(s) and should not be construed as the opinion(s) or policy(ies) of NorthShore University HealthSystem, nor recommendations for your care or anyone else's. Please seek professional guidance instead.